Enquiry Form - Section 43: Disputes About Supply of a Declared Petroleum Product

Fields marked with * are required.
Your Details
*First Name:		*Last Name:
Company:
*Address:
*State:	ACT QLD NSW NT SA TAS VIC WA	*Postcode:
*Telephone:		Fax:
Email:		*I am a:	Wholesaler Distributor Retailer

Other Side's Details
*First Name:		*Last Name:
Company:
Address:
*State:	ACT QLD NSW NT SA TAS VIC WA	Postcode:
Telephone:		Fax:
Email:		*They are a:	Wholesaler Distributor Retailer

Further Information
*Brief Details of the Problem/Nature of Dispute:
*Do you sell or buy more than 30,000 litres per month from the other person?
Yes No
Expected effect of conduct on other person?
*How did you hear about us:

 

Oilcode Dispute Resolution Adviser 2007